MHAA-GF TB

“Stop TB Fight TB Together Project”

Project Background

The project have been implementing by MHAA with the support of Global Fund from 2011 to present now. In 2011-2012, the GF.TB project was implemented in 3 townships, Mandalay Region. Three townships in Magway Region and one new township in Mandalay Region was extended in 2013. Three townships in Sagaing Region was also extended in 2014. And then five townships in Rakhine State and two new townships in Mandalay Region was also extended in 2015. Now, we are implementing eighteen townships in country wide with UNOPS (PR) by Global Fund because one new township in Sagaing Region has been extended during this year 2016.

Project GOAL and Objectives

GOAL:To reduce the burden of tuberculosis in the eighteen projecttownshipsin Mandalay, Magway, Sagaing Regions and Rakhine State in line with the MDG 6 by contributing towards the national TB control initiatives over five years (2011-2016).

Objectives:To mobilize and empower communities to prevent and reduce the burden of tuberculosis

To promote access to early diagnosis and prompt treatment for Tuberculosis

To sustain and improve the quality of DOTS services to reach all TB patients to improve the treatment success rate among all TB detected patients

Community based Active Case Finding TB Project

Recruitment of Community TB Volunteers(CTVs).

Mainly Focused on

awareness raising by CTVs and Township Community Facilitators

detection and referral of Presumptive TB cases for diagnosis by CTVs and further treatment at Township NTP Department.

patients care and DOT supported by CTVs

TA supports to Presumptive & all Notified TB cases

Nutrition & HCP supports to all Notified TB patients

Main Key Activities

IEC distribution through CTVs and CFs among the community.

Health Education Session done in the community (Wards & villages).

Presumptive TB refer by CTVs in weekly

Do CXR for Smear(-) presumptive TB in weekly

TA supporting to all presumptive TB for Dx and all notified TB for F/U times.

Monthly Volunteers’ Meeting with staff & Drawing work plan for the next month.

Background Information

Sr

Region/State

Township

Wards

Villages

Population

No of Trained Vols;

Male

Female

Total

1

Mandalay

Meiktila

13

385

309465

14

13

27

2

Thazi

7

244

202497

15

6

21

3

Mahlaing

15

247

139368

8

9

17

4

Wundwin

6

224

229472

14

7

21

5

Kyaukse

10

249

257545

9

15

24

6

Myithar

6

236

195570

2

18

20

7

Magway

Pakokku

15

269

289650

7

23

30

8

Myaing

3

327

225628

8

17

25

9

Seik Phyu

4

138

102655

7

9

16

10

Sagaing

Budalin

3

188

146462

5

15

20

11

Pale

2

181

143815

7

10

17

12

Kani

3

187

134253

9

7

16

13

Taze

4

270

164747

6

10

16

14

Rakhine

Sittwe

32

98

149348

18

17

35

15

Pauktaw

5

161

145553

14

4

18

16

Myauk U

7

249

189936

12

7

19

17

Minbya

3

246

168963

12

7

19

18

Yathaedaung

4

196

112665

7

7

14

Total

142

4095

3307592

174

201

375

Remark! (Or) Conclusion

Eighteen townships from four State/Regions are selected not only because of low TB case detection and relatively higher case fatality and defaulter rate but also because of low economic growth and tough terrain leading to increasing number of poor, underserved and hard-to-reach population.

Though TB control activities have been implemented, and diagnosis and anti-TB drugs have been provided for free for years, lower economic development and tough terrains still affect the life of the people there resulting to high burden to TB including from emergence of multi-drug resistant TB to death.

Thus as an action, it was planned to address several issues which hinder the progress of TB control in these selected areas.
In these regards, trans-theoretical and logical model of change are applied to achieve project’s overall goal:"to reduce the TB burden among those targeted communities"